This study examines whether opening new medical residency programs improves health outcomes. Comparing counties with and without new residency programs, the research found that mortality rates fall by 4.8% where programs are introduced. However, similar benefits were not observed in rural areas, highlighting the importance of healthcare infrastructure and training location.

My research examines how OSCE (Objective Structured Clinical Examination) role-play simulations help prepare nurse-practitioner students for real-world primary care. Interviews with recent graduates show role plays build confidence, teach communication and clinical routines, and improve readiness for complex cases. Following best-practice guidelines enhances learning. Expanding these simulations could strengthen primary care, especially in underserved rural areas.